Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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A Case of Bilateral Marcus Gunn Jaw Winking Phenomenon

양측으로 발현한 마르쿠스 건 턱-윙크 현상 1예

  • Kang, Bong-Su (Department of Neurology, Seoul National University Hospital) ;
  • Min, Ju-Hong (Department of Neurology, Chung-Ang University Hospital) ;
  • Heo, Jae-Hyeok (Department of Neurology, Seoul National University Hospital) ;
  • Kim, Min-Jeong (Department of Neurology, Seoul National University Hospital) ;
  • Lee, Kwang-Woo (Department of Neurology, Seoul National University Hospital)
  • 강봉수 (서울대학교병원 신경과) ;
  • 민주홍 (중앙대학교병원 신경과) ;
  • 허재혁 (서울대학교병원 신경과) ;
  • 김민정 (서울대학교병원 신경과) ;
  • 이광우 (서울대학교병원 신경과)
  • Published : 2006.12.30
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Abstract

Marcus Gunn jaw winking phenomenon has been thought to result from a congenitally abnormal innervation of the levator palpaebrae muscle by a branch of the trigeminal nerve. A 22-year old man presented with bilateral eyelid elevation on the chewing or eating since infancy. Neurological examination showed bilateral Marcus Gunn Jaw wingking phenomenon in this patient. We referred this patient to the department of ophthalmology and plastic surgery for levator resection or orbicularis oculi muscle flap. We report bilateral Marcus Gunn jaw winking phenomenon, although unilateral disorder is the most common form of trigemino-oculomotor synkinesis. Neurologists should be aware of this phenomenon for decision of proper management and take detailed neurologic examination for elucidating the association of other cranial nerves.

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